NPI | 1457084386 |
---|---|
Entity Type | Organization |
Authorized Contact | MARLON CAMAR SALAMAT CFO 626-497-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2022-07-07 |
Last Update Date | 2024-08-13 |